- Stanford Health Care (Palo Alto, CA)
- …States of America) **This is a Stanford Health Care job.** **A Brief Overview** Clinical Government Audit Analyst and Appeal Specialist II plays a critical role ... as well as excellent analytical and communication skills. The Clinical Government Audit Analyst and Appeals Specialist ...services and procedures. Ensure accurate coding with ICD, HCPCS, CPT codes, as well as APC and DRG assignments,… more
- Stony Brook University (Stony Brook, NY)
- Specimen Receiving/Reference Laboratory Specialist **Position Summary** At Stony Brook Medicine, a **Specimen Receiving/Reference Laboratory Specialist ** in the ... of Laboratories is a valuable member of our team, who provides clinical , technical and administrative services in support of laboratory services. The position… more
- Cedars-Sinai (Torrance, CA)
- …Hospitals! **What will I be doing in this role?** The Revenue Cycle Specialist III works under general supervision and following established practices, policies, ... patient care we strive for. **Req ID** : 11794 **Working Title** : Revenue Cycle Specialist III (Emergency) **Department** : CSRC PB - Group 7 ED **Business… more
- BayCare Health System (Tampa, FL)
- …3:30 PM + **Days:** Monday through Friday The **Medical Records Outpatient Coder III ** will work remotely on a full-time basis. _Sign on bonuses available!_ ... **Responsibilities** + The Medical Records Outpatient Coder III reviews short stay focused encounters to accurately assign diagnosis and procedural codes-using… more
- Dignity Health (Bakersfield, CA)
- **Job Summary and Responsibilities** The Claims Examiner III is an advanced-level role responsible for the detailed and accurate processing, review, and adjudication ... claims processing, coding, and regulatory compliance. The Claims Examiner III will handle the most challenging cases, mentor junior...a senior or advanced role + Expert knowledge of CPT , ICD-10, HCPCS coding, and medical terminology. + Associate's… more
- University of Rochester (Rochester, NY)
- …referral and prior authorization guidelines. Communicates regularly with patients, families, clinical and non- clinical staff, identifying barriers to appointment ... functionality required for testing and services ordered by referred to specialist includes, preparing and providing multiple, complex details to insurance or… more
- Houston Methodist (Sugar Land, TX)
- …and denials for no authorization. The Senior Denials Management Specialist position communicates clinical information utilizing various resources ... for process and workflow opportunities to both operational and clinical stakeholders. The Senior Denials Management Specialist ...clinical appeals, and denials to include knowledge of CPT and ICD codes and familiarity with Local Coverage… more
- Veterans Affairs, Veterans Health Administration (Fayetteville, NC)
- …Certifications include: Clinical Documentation Improvement Practitioner (CDIP)Certified Clinical Documentation Specialist (CCDS). GS-09 Experience CDISs must ... current clinical classification systems such as ICDCM and PCS, CPT , and HCPCS. Must also possess knowledge of complication or comorbidity/major complication… more
- Beth Israel Lahey Health (Peabody, MA)
- …families. B. Participates in and supports the educational plan for patient and family. III . Clinical Guidance: The MA, within the scope of his/her practice and ... procedure and department protocol Follows up with patient or specialist to ensure patient care plans since last appointment...and supports the educational plan for patient and family. III . Clinical Guidance: The MA, within the… more
- Veterans Affairs, Veterans Health Administration (Salem, VA)
- …is required for all positions above the journey level; however, for clinical documentation improvement specialist assignments, a clinical documentation ... in the development, maintenance and usage of ICD and CPT codes to ensure accurate data capture. Monitors the...the professional staff for clarification of conflicting or ambiguous clinical data. Reports incorrect documentation or codes in the… more
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